Acute myocardial ischaemia is a common acute .disease and a common cause of sudden death.However, it is difficult to diagnose in patients who died within 6 hours after the onset of myocardial ischaemia. The occurrence of sudden cardiac death often has pathological basis of primary heart diseases, which may lead to a series of changes in metabolism and gene expression.1 Recent research found that hypoxia inducible factor 1 alpha （HIF-1α） is a sensitive marker of hypoxia; its gene expression is upregulated within several minutes after acute myocardial ischaemia, followed by the upregulation of its protein and its expression will remain high if the inducement continues. Its expression in nonhypoxic cardiac muscle is very low. This characteristic may be used to differentiate hypoxic factors from nonhypoxic factors, and help to judge the cause of death. This study explored the expression of HIF-1α in hypoxic cardiac muscle by establishing an acute myocardial ischaemia model in mice, and observed its dynamic changes to provide reference for analysing causes of death within 48 hours after death.
LI Zhi-gangWANG Jiang-fengCHENG Jian-dingLIU Yan-weiXING Hao-weiWANG YongCHEN Yu-chuan
